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Diagnosed with a Right-sided Varicocele? Is it a tell-tale sign of a more serious underlying health condition?


A lumpy look or a “bag of worms” feel of your scrotum, commonly seen with enlarged veins is an indicator of a condition called Varicocele. Mainly caused by the damaged valves inside the veins in the scrotum, the condition is considered as varicose veins of the scrotum. The function of the valves in the veins is to keep the blood flowing in the right direction. Once it turns faulty, blood flows backwards and starts to pool in the veins. Over a period, the veins become swollen and enlarged. Among the most common symptoms of varicocele is the left testicular pain.

Should I be worried?

There is no need to panic as varicoceles are generally not a sign of any life-threatening issues. Mostly harmless, they may not need any immediate treatment. However, it is possible that varicoceles are painful and can affect the quality of your life. If you notice any change in the size of the testicles or if you are facing issues with fertility then it is advisable to seek treatment.

In around 80 – 90% cases varicoceles are typical on the left side of the scrotum, most likely because of the relation of the left testicular vein to the left renal vein. On the left side, the spermatic vein opens at a sharp angle into the left renal vein. On the right side, the spermatic vein opens into the much larger inferior vena cava. 

As valves turn faulty, gravity may work more against the blood flowing through the left renal vein, and this probably is the reason for varicocele being more common on the left side. However, rarely varicoceles are diagnosed on the right side.

Are right-sided varicoceles more dangerous?

Though not always a sign of a serious problem, varicoceles on the right side can be a sign that something is not quite normal. Once diagnosed, it is necessary to ensure that no abnormality or any mass has developed in the abdomen. Blood clots, or tumors could have caused abdominal blockages.

Few studies have reported that right- sided varicocele can be a sign of renal cell carcinoma which affects the adrenal glands located above your kidneys. In men, spotting a cluster of veins on your right testicle could be an early warning sign of this condition. Abdominal pain can be a manifestation of the presence of such tumors.

If you notice any swelling, pain, or lumps in your scrotum, it is necessary that you visit your doctor at the earliest. Your doctor may suggest some additional imaging tests to rule out the possibilities of any serious illness. A vascular specialist can help you assess your risks for vascular blockages or tumor. 

Varicocele treatment options

If there are no abnormalities diagnosed, the treatment of varicoceles is quite straightforward. The treatment will focus on closing off the damaged veins while rerouting the blood flow to the healthy veins. 

Varicocele Embolization

Varicocele Embolization is a minimally invasive and proven treatment option for Varicocele. The procedure is quite popular as it offers a success rate comparable to the traditional surgical procedure but with relatively lesser risks. 

At Avis Vascular Centre, the procedure is performed as an outpatient one and completed in an hour or two.  The treatment offers fast recovery and most men return to work within just few days. Want to know more about the treatment. Call and book your appointment today.

Varicocele Treatment In Hyderabad

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